affiliate.nationalcorporatecredit.com
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52.11.48.119
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URL:
https://affiliate.nationalcorporatecredit.com/ncc/form/1820217000082193043/TRB_Funding
Submission: On January 25 via manual from US — Scanned from DE
Submission: On January 25 via manual from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form novalidate="novalidate" class="v-form">
<div class="v-stepper v-stepper--alt-labels v-sheet theme--light">
<div class="v-stepper__header">
<div tabindex="-1" class="v-stepper__step v-stepper__step--active"><span class="v-stepper__step__step primary">1</span>
<div class="v-stepper__label"> Business </div>
</div>
<hr role="separator" aria-orientation="horizontal" class="v-divider theme--light">
<div tabindex="-1" class="v-stepper__step v-stepper__step--inactive"><span class="v-stepper__step__step">2</span>
<div class="v-stepper__label"> Secure Uploads </div>
</div>
<hr role="separator" aria-orientation="horizontal" class="v-divider theme--light">
<div tabindex="-1" class="v-stepper__step v-stepper__step--inactive"><span class="v-stepper__step__step">3</span>
<div class="v-stepper__label"> Income </div>
</div>
<hr role="separator" aria-orientation="horizontal" class="v-divider theme--light">
<div tabindex="-1" class="v-stepper__step v-stepper__step--inactive"><span class="v-stepper__step__step">4</span>
<div class="v-stepper__label"> Other </div>
</div>
<hr role="separator" aria-orientation="horizontal" class="v-divider theme--light">
<div tabindex="-1" class="v-stepper__step v-stepper__step--inactive"><span class="v-stepper__step__step">5</span>
<div class="v-stepper__label"> Credit Card Processing </div>
</div>
</div>
<div class="v-stepper__items">
<div class="v-stepper__content" style="transform-origin: center top 0px;">
<div class="v-stepper__wrapper">
<div class="v-card v-sheet theme--light">
<div class="row">
<div class="col">
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-19" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">First Name</label><input required="required" id="input-19" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<div class="col">
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-22" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Last Name</label><input required="required" id="input-22" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-25" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Company Name</label><input required="required" id="input-25" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-28" class="v-input__slot">
<div class="v-select__slot"><label for="input-28" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Industry</label>
<div class="v-select__selections"><input required="required" id="input-28" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-33" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">E-mail</label><input required="required" id="input-33" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-36" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Phone</label><input required="required" id="input-36" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-39" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Address</label><input required="required" id="input-39" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-42" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">City</label><input required="required" id="input-42" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-45" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">State</label><input required="required" id="input-45" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-48" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Zip</label><input required="required" id="input-48" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-51" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Birthdate</label><input id="input-51" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-54" class="v-input__slot">
<div class="v-select__slot"><label for="input-54" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Credit Score</label>
<div class="v-select__selections"><input required="required" id="input-54" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<hr role="separator" aria-orientation="horizontal" class="v-divider theme--light"> <label>Acknowledgement and Consent</label>
<p>You understand that by clicking the "Continue" button immediately following this notice, you certify that all of the information provided in this application is true and correct, and you are confirming you have read and understood the <a target="_blank" href="https://www.nationalcorporatecredit.com/privacy-policy">Privacy
Policy</a>, and you are providing written instructions to this Company under the Fair Credit Reporting Act authorizing this Company to obtain information from your personal credit profile or other information from
Experian and/or TransUnion and/or Equifax. You authorize this Company to obtain such information solely to conduct a pre-qualification for credit. Also, you authorize this Company to share the information provided in this application with
affiliated third parties for possible financing options.</p> <button type="button" class="v-btn v-btn--is-elevated v-btn--has-bg theme--light v-size--default primary"><span class="v-btn__content"> Continue </span></button> (This will NOT
affect your credit)
</div>
</div>
<div class="v-stepper__content" style="display: none;">
<div class="v-stepper__wrapper">
<div class="v-card v-sheet theme--light">
<h3>Upload Supporting Qualifying Documents</h3>
<ul>
<li>Personal and business tax returns for the last 2 years</li>
<li>If you process credit card payments, please include your credit card processing statements</li>
<li>Please note the more documents you are able to provide us with, the more funding options you may qualify for.</li>
</ul>
<p class="text-warning text-center"><i class="fas fa-exclamation-triangle" aria-hidden="true"></i> Please note the upload occurs automatically once you drop or select a file. You should see a confirmation appear.</p>
<div id="upload" class="vue-dropzone dropzone dz-clickable"><!---->
<div class="dz-default dz-message"><span>Drop files here to upload</span></div>
</div>
</div>
<hr role="separator" aria-orientation="horizontal" class="v-divider theme--light"> <button type="button" class="v-btn v-btn--is-elevated v-btn--has-bg theme--light v-size--default primary"><span class="v-btn__content"> Continue
</span></button> <button type="button" class="v-btn v-btn--text theme--light v-size--default"><span class="v-btn__content"> Back </span></button>
</div>
</div>
<div class="v-stepper__content" style="display: none;">
<div class="v-stepper__wrapper">
<div class="v-card v-sheet theme--light">
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-71" class="v-input__slot">
<div class="v-select__slot"><label for="input-71" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">How much capital are you seeking?</label>
<div class="v-select__selections"><input required="required" id="input-71" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-76" class="v-input__slot">
<div class="v-select__slot"><label for="input-76" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">How would you rate your personal credit?</label>
<div class="v-select__selections"><input required="required" id="input-76" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-81" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Previous 12 months business income?</label><input required="required" id="input-81" type="text">
</div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-84" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Previous 12 months personal income?</label><input required="required" id="input-84" type="text">
</div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-87" class="v-input__slot">
<div class="v-select__slot"><label for="input-87" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Are you employed or self employed?</label>
<div class="v-select__selections"><input required="required" id="input-87" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div>
<hr role="separator" aria-orientation="horizontal" class="v-divider theme--light"> <button type="button" class="v-btn v-btn--is-elevated v-btn--has-bg theme--light v-size--default primary"><span class="v-btn__content"> Continue
</span></button> <button type="button" class="v-btn v-btn--text theme--light v-size--default"><span class="v-btn__content"> Back </span></button>
</div>
</div>
<div class="v-stepper__content" style="display: none;">
<div class="v-stepper__wrapper">
<div class="v-card v-sheet theme--light">
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-98" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">How soon do you need funding?</label><input required="required" id="input-98" type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-101" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Briefly describe how you plan to use the funding?</label><input id="input-101" type="text">
</div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input v-textarea theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-104" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Briefly describe why you feel your business would be a good fit for our funding
program?</label><textarea id="input-104" rows="5"></textarea></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed">
<div class="v-input__control">
<div class="v-input__slot">
<div class="v-text-field__slot"><label for="input-107" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">What is your monthly rent or mortgage payment?</label><input required="required" id="input-107"
type="text"></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-110" class="v-input__slot">
<div class="v-select__slot"><label for="input-110" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Do you own or rent your current home?</label>
<div class="v-select__selections"><input required="required" id="input-110" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-115" class="v-input__slot">
<div class="v-select__slot"><label for="input-115" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Length of time in business?</label>
<div class="v-select__selections"><input required="required" id="input-115" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div> <button type="button" class="v-btn v-btn--is-elevated v-btn--has-bg theme--light v-size--default primary"><span class="v-btn__content"> Continue </span></button> <button type="button"
class="v-btn v-btn--text theme--light v-size--default"><span class="v-btn__content"> Back </span></button>
</div>
</div>
<div class="v-stepper__content" style="display: none;">
<div class="v-stepper__wrapper">
<div class="v-card v-sheet theme--light">
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-125" class="v-input__slot">
<div class="v-select__slot"><label for="input-125" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">How do you currently process credit card payments?</label>
<div class="v-select__selections"><input required="required" id="input-125" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-130" class="v-input__slot">
<div class="v-select__slot"><label for="input-130" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Would you be open to passing the cost of the credit to customers?</label>
<div class="v-select__selections"><input required="required" id="input-130" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-135" class="v-input__slot">
<div class="v-select__slot"><label for="input-135" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Do you currently own, lease or rent your equipment?</label>
<div class="v-select__selections"><input required="required" id="input-135" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
<div class="v-input theme--light v-text-field v-text-field--filled v-text-field--is-booted v-text-field--enclosed v-select">
<div class="v-input__control">
<div role="button" aria-haspopup="listbox" aria-expanded="false" aria-owns="list-140" class="v-input__slot">
<div class="v-select__slot"><label for="input-140" class="v-label theme--light" style="left: 0px; right: auto; position: absolute;">Do you have a contract with your current processor?</label>
<div class="v-select__selections"><input required="required" id="input-140" readonly="readonly" type="text" aria-readonly="false" autocomplete="off"></div>
<div class="v-input__append-inner">
<div class="v-input__icon v-input__icon--append"><i aria-hidden="true" class="v-icon notranslate mdi mdi-menu-down theme--light"></i></div>
</div><input type="hidden">
</div>
<div class="v-menu"><!----></div>
</div>
<div class="v-text-field__details">
<div class="v-messages theme--light">
<div class="v-messages__wrapper"></div>
</div>
</div>
</div>
</div>
</div> <button type="button" class="v-btn v-btn--is-elevated v-btn--has-bg theme--light v-size--default primary"><span class="v-btn__content"> Continue </span></button> <button type="button"
class="v-btn v-btn--text theme--light v-size--default"><span class="v-btn__content"> Back </span></button>
</div>
</div>
</div>
</div>
</form>Text Content
12:00
1
Business
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2
Secure Uploads
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3
Income
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4
Other
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5
Credit Card Processing
First Name
Last Name
Company Name
Industry
E-mail
Phone
Address
City
State
Zip
Birthdate
Credit Score
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Acknowledgement and Consent
You understand that by clicking the "Continue" button immediately following this
notice, you certify that all of the information provided in this application is
true and correct, and you are confirming you have read and understood the
Privacy Policy, and you are providing written instructions to this Company under
the Fair Credit Reporting Act authorizing this Company to obtain information
from your personal credit profile or other information from Experian and/or
TransUnion and/or Equifax. You authorize this Company to obtain such information
solely to conduct a pre-qualification for credit. Also, you authorize this
Company to share the information provided in this application with affiliated
third parties for possible financing options.
Continue (This will NOT affect your credit)
UPLOAD SUPPORTING QUALIFYING DOCUMENTS
* Personal and business tax returns for the last 2 years
* If you process credit card payments, please include your credit card
processing statements
* Please note the more documents you are able to provide us with, the more
funding options you may qualify for.
Please note the upload occurs automatically once you drop or select a file. You
should see a confirmation appear.
Drop files here to upload
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How much capital are you seeking?
How would you rate your personal credit?
Previous 12 months business income?
Previous 12 months personal income?
Are you employed or self employed?
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How soon do you need funding?
Briefly describe how you plan to use the funding?
Briefly describe why you feel your business would be a good fit for our funding
program?
What is your monthly rent or mortgage payment?
Do you own or rent your current home?
Length of time in business?
Continue Back
How do you currently process credit card payments?
Would you be open to passing the cost of the credit to customers?
Do you currently own, lease or rent your equipment?
Do you have a contract with your current processor?
Continue Back
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